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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 4 May 2025
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Displaying 2733 contributions

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Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Sue Webber

Hello, cabinet secretary, and thank you for coming this morning.

As you know, recruitment and retention in general practice continues to be a critical issue as we recover from the pandemic, but even before Covid, the Audit Scotland reports were showing that the Scottish Government鈥檚 plan to increase the GP workforce by 800 by 2027 is on course to be all but wiped out by the number of doctors who are expected to retire or change their working patterns. What needs to happen to improve retention among general practitioners?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Sue Webber

We know that screening saves lives and that early detection saves lives. A lady who is over 70 has contacted me, and she is desperate to get a breast screening. Due to some medication that she is on, there is a significant increase in the risk of her getting breast cancer, yet she has been denied that. What can we do? She should be able to access treatment and screening equally with anyone else, specifically given the risk factor that has clearly been identified. How can we help this lady in particular?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Sue Webber

I understand what you are saying.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Sue Webber

In previous evidence sessions, some of the Government officials who work with the digital platform stated that there is a disconnect between Scotland and other parts of the UK on the level of investment in people who develop such technology. Do you have plans to upscale that and have more people working behind the scenes to develop the digital platform?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Sue Webber

We spoke earlier about some of the changes to services, including to the telephony system for GPs. The adoption of digital health and care information has accelerated through the pandemic, but has the quality and quantity of resources kept up with demand? Are the relevant websites easy to navigate, including for those who have only a limited digital understanding?

I am trying to figure out whether we are keeping up with the technological development that is needed. I am thinking back to an article that was in The Scotsman the other week about an app on which people can access test results, make appointments and so on. That is not available to us in Scotland, but NHS England has such an app available now. I wonder why there is not a bit more cross-border sharing of that technological development.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Sue Webber

You say that you hope that people are having a good experience, cabinet secretary, but I note that in its response to our consultation Healthcare Improvement Scotland suggested that an increase in social prescribing was dependent on continuous monitoring. Are you aware of the monitoring that is being undertaken? If so, how extensive is it?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Sue Webber

Cabinet secretary, one third of the respondents to the committee鈥檚 public survey said that their experience of social prescribing was either bad or very bad, with some saying that they would be insulted to be directed to those services. A common theme among respondents was that they could have found the same or better information elsewhere. You get a bit of a sense of frustration in those responses. What needs to happen to ensure that these pathways are perceived as鈥攁nd, indeed, are鈥攎ore valuable and credible to the public?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Sue Webber

You mentioned self-referral, rather than everyone having to phone the GP practice and speak to the receptionist.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Sue Webber

Thanks, convener. I hope that you can see me this time. My signal is a bit more stable now.

The Royal College of Nursing has rightly pointed out that people with poor health literacy are less able to identify or label what is wrong with them, and are therefore less able to identify and self-refer to the various alternative pathways that we hear so much about. What is your assessment of the risk that an increase in use of digital pathways will increase the health inequalities that many people face?

Adam Stachura mentioned the scale of the issue, given the number of over-60s who do not have a device, and Chris Mackie said that digital should always be a meaningful choice, so maybe they are interested in responding.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Sue Webber

In 2019, when the Health and Sport Committee was taking evidence鈥擨 was not on the committee at the time鈥攊t heard about a number of barriers that healthcare practitioners faced in relation to their use of social prescribing. Those barriers included a lack of strong evidence on its long-term effectiveness, time constraints, lack of awareness and quality assurance, or how they could be assured of consistency in quality. Linked to that is the issue of continuous monitoring of whether services are still available in the community, because we know how transient some organisations can be due to lack of funding. Has any progress been made in tackling those barriers in the past three years?